INTEGRITY MISCONDUCT COMPLAINT FORM

SECTION A – COMPLAINANT INFORMATION

Ticket Number

1. FULL NAME:

2. I/C NUMBER:

3. DEPARTMENT:

4. MOBILE PHONE NUMBER:

5. OFFICE PHONE NUMBER:

6. POSITION:

7. E-MAIL:

8. ADDRESS:

9. POSTCODE:

10. DATE:

SECTION B – COMPLAINT INFORMATION

1. TYPE OF OFFENSE:

2. DATE OF OFFENSE:

3. DAY OF OFFENSE:

4. TIME OF OFFENSE:

5. PLACE OF OFFENSE:

6. NAME(S) OF PERSON(S) INVOLVED:

7. WITNESS(ES) WHO KNOWS / SAW THE OFFENSE:

8. REFERENCE OF RELATED ACTS / DOCUMENT:

9. AMOUNT OF MONEY / GOODS / SERVICES:

10. BRIEF DESCRIPTION OF THE OFFENSE (INCLUDING ANY OTHER REFERENCES SUCH AS VEHICLE PLATE NUMBER, RECEIPT NUMBER, ACCOUNT NUMBER, IDENTITY AND OTHERS):

Cultivating Integrity

KPRJ adheres to the principles of governance to ensure that we conduct business with integrity. To ensure that our goals are achieved, we maintain transparency in our business dealings and vehemently refuse to participate in any activities determined by crime in conjunction with the Whistleblowing Policy.

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